Dysfunction:– Questions With Correct Answers
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Terms in this set (37)
o Smoking
o Alcohol
o Hypertension
o Diabetes
risk factors for BPH?
o Obesity
o Decreased activity
o High animal fat, protein, and refined carb diet and
Low fiber diet
· Urinary Retention
o Normal is less than 50 mL
o Greater than 100 mL can lead to azotemia which is
accumulation of nitrogenous waste and kidney failures
what are some clinical · May have frequent UTIs
manifestations of BPH?
· BPH with LUTS
· Pelvic Discomfort associated with the urine retention
· Anorexia and Nausea/Vomiting
o WISE: Weak stream, Intermittent flow, straining to
what are the acronyms for
urinate, incomplete Emptying
BPH with LUTS?
o FUN: Frequency, Urgency, and Nocturia
o Frequency, urgency, nocturia, hesitancy in starting a
what are some signs of new stream, decrease in intermittent force of urinary stream,
onset BPH? increased abdominal straining with urination, and
dribbling
, o Urinary tract problems
o Do any OTC medications make his urinary symptoms
better or worse?
o Previous symptoms or surgeries related to urinary
tract
what is included in the
o Family history of prostate disease
health history for BPH?
o Kidney function normal? Urinary retention?
o Fit for possible symptoms and fit to withstand surgery
if needed (past endoscopy?)
o Previous STDs or urethral strictures?
o Smoking history
o DRE (Digital Rectal Exam)
- Normal prostate is going to feel bilobed, central
furrow, firm, smooth, and the size of a walnut
what diagnostic test is
- BPH may be smooth and enlarged
done for BPH and what
- Cancerous prostate will feel hard, large, and bumpy
does it do?
- This is not the case with BPH since it is the growth
tissue near the urethra which results in urinary symptoms
o DRE is helpful for ruling out prostate cancer because
What is DRE helpful for majority of the prostate cancer develops at the
ruling out? periphery of the gland near the rectal wall where it can
be palpated
-health history
- DRE
- Post-void residual urine
- Cardiac and respiratory status
- Urinalysis
Assessment and
- BUN and Creatinine Labs
Diagnostics for BPH?
- Ultrasound
- International Prostate Symptoms Score Questionnaire
- A voiding diary
-Prostate Specific Antigen (PSA) level
- CBC